Individual
DR. KYLE PAUL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11335 SSG SIMS ST, FORT BLISS, TX 79918
(915) 742-1318
Mailing address
11335 SSG SIMS ST, FORT BLISS, TX 79918
(915) 742-1318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
081414
IA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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